Provider Demographics
NPI:1558693861
Name:HORSLEY, AMY SUE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:SUE
Last Name:HORSLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10302 SUNRISE BLVD E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-8833
Mailing Address - Country:US
Mailing Address - Phone:253-604-1013
Mailing Address - Fax:253-604-1016
Practice Address - Street 1:10302 SUNRISE BLVD E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-8833
Practice Address - Country:US
Practice Address - Phone:253-604-1013
Practice Address - Fax:253-604-1016
Is Sole Proprietor?:No
Enumeration Date:2010-02-11
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60092294183500000X
MD19171183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist